HCS-D Certification UPDATED ACTUAL
Exam Questions and CORRECT
ANSWERS
Code: A patient is admitted with an AIDS-related infection specified as Cryptosporidiosis.
His symptoms include dehydration and diarrhea - CORRECT ANSWER✔✔- B20, A07.2
Code: A patient is referred for home health nursing following hospitalization for
streptococcus pneumoniae septicemia. She was given IV antibiotics for three days and will be
taking oral antibiotics at home for five days. - CORRECT ANSWER✔✔- A40.3
Code: A 69-year-old woman comes to home health for treatment for sepsis that her record
says was caused by an E. coli UTI. She will receive IV antibiotics for six weeks. -
CORRECT ANSWER✔✔- A41.51, N390, Z45.2, Z79.2
Code: A 62-year-old woman who is morbidly obese is admitted to home health for
medication monitoring, after recently being started on insulin, and physical therapy for a
diagnosis of diabetic polyneuropathy. She also requires treatment of a yeast infection in the
skin folds of her abdomen. She suffers from severe chafing and irritation from the skin folds
constantly rubbing together, which her physician stated led to the yeast infection. Her height
is 60 inches and she weighs 502 lbs. - CORRECT ANSWER✔✔- E11.42. L30.4, B37.2,
E66.01, Z68.45, Z79.4
Code: A 75-year-old woman comes to home health with lung calcification secondary to
resolved pulmonary tuberculosis when she was a child. - CORRECT ANSWER✔✔- B90.9
Code: A 71-year-old woman has a cystostomy in place due to paraplegia. Recently the site
around the opening became irritated and her physician diagnosed cellulitis due to group B
streptococcus bacteria. She was prescribed a 10-day course of antibiotics and will receive
skilled nursing visits to monitor the infection until it resolves. She is wheelchair bound -
CORRECT ANSWER✔✔- N99.511, L03.314, B95.1, G82.20, Z99.3
Code: A 68-year-old woman who is a type 1 diabetic comes to home health with a primary
diagnosis of malignant otitis externa in bilateral ears. The record indicates the infecting
organism is pseudomonas aeruginosa. She will receive IV antibiotics. - CORRECT
ANSWER✔✔- H60.23, B96.5, E109, Z45.2. Z79.2
, Code: A 69-year-old man with diabetes comes to home health with a primary diagnosis of
acute osteomyelitis in the bones of his left big toe. The infecting organism is MRSA. He will
receive IV antibiotics for several weeks and is dependent on insulin. - CORRECT
ANSWER✔✔- E11.69, M86.172, B95.62, Z45.2, Z79.2, Z79.4
Code: A 73-year-old woman comes to home health with a primary diagnosis of cellulitis on
her groin that is infected with E. coli and is being treated with IV antibiotics. She also has
diabetes and hypertension. - CORRECT ANSWER✔✔- L03.314, B96.20, E119, I10, Z45.2,
Z79.2
Code: A patient's initial injury was a cat bite on her left hand. When her wound became
infected, she was referred to home health for IV antibiotics. The PICC line also became
infected. MRSA has grown out of the PICC line. Other diagnoses include diabetes and
hypertension - CORRECT ANSWER✔✔- S61.452A, T80.218A, B95.62, E11.9, I10, Z79.2
Code: A 72-year-old woman recently underwent surgery to remove cancer in her sigmoid
colon. The surgery completely eradicated the cancer but the surgical wound developed an
intramuscular abscess that's infected with E. coli and the patient was admitted to home health
to continue treatment with a wound VAC and IV antibiotics for six weeks. The patient is
morbidly obese with a BMI of 35. - CORRECT ANSWER✔✔- T81.42XA, B96.20, E66.01,
Z68.35, Z79.2, Z45.2, Z85.038
Code: A 79-year-old woman was recently hospitalized for severe colitis due to recurrent
Clostridium difficile. During her hospitalization she experienced severe diarrhea and acute
kidney failure. The kidney failure resolved prior to discharge but the infection is still
resolving and she is still experiencing mild to moderate diarrhea. She has comorbidities of
chronic diastolic heart failure and hypertension. Following her discharge, she is admitted to
home health to continue her recovery. Skilled nursing will provide instruction to her caregiver
on the disease process and management of new medications. - CORRECT ANSWER✔✔-
A04.71, I11.0, I50.32
Code: A 79-year-old woman is admitted to home care for wound care of an infected, non-
healing stasis ulcer on her right ankle that has exposed the fat layer. The stasis ulcer is a result
of varicose veins and is infected with Methicillin resistant staphylococcus aureus (MRSA).
She will require IV antibiotics. - CORRECT ANSWER✔✔- I83.013, L97.312, B95.62,
Z45.2, Z79.2